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Forequarter amputation for soft tissue tumors

E A Levine1, M A Warso, D M McCoy

  • 1Division of Surgical Oncology, LSU School of Medicine, New Orleans 70112.

The American Surgeon
|May 1, 1994
PubMed
Summary
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Forequarter amputation is an effective surgical option for controlling shoulder girdle and upper arm soft tissue tumors, especially recurrent ones. This radical procedure offers long-term survival for patients when limb-sparing options are not viable.

Area of Science:

  • Surgical Oncology
  • Orthopedic Oncology

Background:

  • Forequarter amputation, a radical surgical procedure, was first described in 1908.
  • Its application has evolved to include the treatment of soft tissue tumors.

Purpose of the Study:

  • To review the experience with forequarter amputations for malignant disease.
  • To assess the efficacy and outcomes of this procedure in a specialized surgical oncology setting.

Main Methods:

  • Retrospective review of 10 patients undergoing forequarter amputation between 1970 and 1991.
  • Analysis of tumor histology, treatment indication (primary vs. recurrent), and patient follow-up.

Main Results:

  • Nine patients had soft tissue tumors, and one had malignant melanoma.

Related Experiment Videos

  • All patients survived with a mean follow-up exceeding 10 years.
  • Three patients experienced tumor recurrence; one was salvaged with chest wall resection.

    • Conclusions:

    • Forequarter amputation is an effective procedure for local tumor control in the shoulder girdle and upper arm.
    • It is a crucial option for recurrent soft tissue tumors where limb-sparing surgery is not feasible.
    • This radical procedure should be considered a rare but important surgical choice for select patients.